Late Cardiac Tamponade in a Patient Victim of Penetrating Trauma - Case Report

被引：0

作者：

Maia, Adnaldo da Silveira ^{[1
]}

da Cunha, Alexandre Bichara ^{[2
]}

Santos Pereira, Magnum Adriel ^{[2
]}

Chaves, Natalia Pompeu ^{[3
]}

de Morais, Ricardo Silva ^{[4
]}

de Almeida, Lazaro Araujo ^{[4
]}

机构：

[1] Univ Amazonas State, Av Carvalho Leal,1778 Cachoeirinha, Manaus, Amazonas, Brazil

[2] Adriano Jorge Hosp Fdn, Manaus, Amazonas, Brazil

[3] Nilton Lins Univ, Manaus, Amazonas, Brazil

[4] Dr Joao Lucio Pereira Machado Emergency Hosp, Manaus, Amazonas, Brazil

来源：

BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY | 2020年 / 35卷 / 06期

关键词：

Cardiac Tamponade; Stab Wounds; Pericardial Window Techniques;

D O I：

10.21470/1678-9741-2019-0130

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Case Presentation: A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the cardiac lesion, enlargement of the incision by median sternotomy was opted for. A hematoma was spotted at the left ventricle with epicardial lesion and a patch of pericardium was made with 3-0 polypropylene. The patient developed acute pulmonary edema and atrial fibrillation, which improved after the intensive care unit clinical management, with hospital discharge in the 7th postoperative day.

引用

页码：1017 / 1019

页数：3

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